Individual
DR. JOHN GEORGE HEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 E 3RD ST, CHATTANOOGA, TN 37403-2101
(423) 778-5437
(423) 778-7507
Mailing address
900 E 3RD ST, CHATTANOOGA, TN 37403-2101
(423) 778-5437
(423) 778-7507
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD25694
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q005887
—
TN
Enumeration date
05/24/2005
Last updated
01/15/2019
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